Transcription of APPLICATION TO OBTAIN AN INCOME TAX CLEARANCE CERTIFICATE
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APPLICATION TO OBTAIN AN INCOME TAX CLEARANCE CERTIFICATE 1. Full Name : .. 2. Postal Address : .. 3. Date of Birth : .. 4. Civil Status (Whether Married, Single, Widow or Widower): .. 5. National Identity Card No: .. 6. Passport No : .. 7. Date of arrival to Sri Lanka: .. 8. Proposed date of departure: .. 9. Country of destination : .. 10. Purpose of obtaining CLEARANCE : .. 11. INCOME Tax File No. (If any): .. 12. INCOME from all sources for YY/A: .. 13. Date of commencement and cessation of trade, business, profession (Please submit documentary evidence): .. 14. (a) The amount of which CLEARANCE is required. Rs. Cash Jewelry Total (b) Sources of funds: Rs. Savings Disposal of movable and Immovable properties Gifts Loans Other Sources Total 15. Names and Passport Numbers of the members of the family accompanying the applicant: Name Passport No.
15. Names and Passport Numbers of the members of the family accompanying the applicant: Name Passport No. Reference Number(S) of the earlier applications(s( for clearance certificate(s):
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